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  • Title: Management of phenytoin-induced gingival enlargement: a case report.
    Author: Parwani RN, Parwani SR.
    Journal: Gen Dent; 2013; 61(6):61-7. PubMed ID: 24064166.
    Abstract:
    Gingival enlargements may adversely affect speech, mastication, tooth eruption, and esthetics. These enlargements can occur as a result of the administration of certain anticonvulsants, immunosuppressants, and calcium channel blockers. The present case report describes the treatment of a patient with a phenytoin-induced gingival enlargement. A case of gingival enlargement should be treated in a step-wise manner, including consultation with the patient's physician, substitution of the drug, nonsurgical therapy, surgical therapy (if needed), and supportive periodontal therapy after every 3 months. In this case, healing was uneventful, and no recurrences occurred 3 months postoperatively.
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